nekhismom

nekhismom

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All Content by nekhismom

  1. Prone Positioning in the NICU

    nekhismom replied to nurse_leeny's topic in NICU, Neonatal

    Is fluff like sheepskin??? IF SO, then yes, I use it like that too, and I love

  2. Home Births

    nekhismom replied to FutureNrse's topic in Ob/Gyn

    One place where I worked, using a midwife was very discouraged. If you had used a CNM throughout your entire pregnancy, then had a complication and needed to deliver at the hospital, or just decided...

  3. Adding Fortifier ??

    nekhismom replied to cmorriscat's topic in NICU, Neonatal

    I've always fortified with 1 pack HMF to 25 mls EBM= 22cal/oz, 2 packs = 24 cal/oz. Or, 2 packs HMF to 50 mls EBM= 22 cal/oz. That's just what I've always been taught. I've worked in 4 different...

  4. Adding Fortifier ??

    nekhismom replied to cmorriscat's topic in NICU, Neonatal

    EBM is assumed to have 20 cal/0z. So, for 24 cal EBM, add 2 packs of HMF to 25 cc's EBM. I've used the liquid fortifier, and I just add the amount needed to the 25 cc's or 50 cc's of EBM and go from...

  5. Preemie/NICU-isms

    nekhismom replied to mermom's topic in NICU, Neonatal

    Hey, I work in a level 4 NICU!! That is one of the biggest stereotypes we face at my unit. Recently we had a mom of multiples who had a baby sent to us and she was petrified because the NURSES at...

  6. PDA ligation in non-symptomatic infants?

    nekhismom replied to fergus51's topic in NICU, Neonatal

    We do it as

  7. Changing jobs before 1 year's stay:Anyone else done it?

    nekhismom replied to JacelRN's topic in First Year After Licensure

    My hospital in NC offers a program like this. PM me if you're interested. A girl I worked with before said she worked in Albuquerque as a new grad and the univ. hosp. there offered that type of...

  8. The Know-It-All nurse

    nekhismom replied to BETSRN's topic in Ob/Gyn

    I work NICU, and we have one relatively new grad who SWEARS she knows more than nurses that have been on the unit for 25+ years!! She came to the unit as a new grad insisting that she didn't NEED...

  9. Closed suction systems

    nekhismom replied to iceNICUnurse's topic in NICU, Neonatal

    We do not use in-line suction on any kid under 1200 gms, regardless of what type of vent they are on. We do not use in-line suction on ANY kid on a jet vent, and don't use oscillators. Wish we did,...

  10. Turning off lipids in infected babies

    nekhismom replied to fergus51's topic in NICU, Neonatal

    Thanks,

  11. Baby IV's!!

    nekhismom replied to neonursey's topic in NICU, Neonatal

    I find it easiest to stick in the hands and in the weird crooks of the feet where no one else can stick. BUt that's just me. I've never even attempted a saphenous vein, I'd be way too worried. ANd...

  12. Using HFV in isolettes

    nekhismom replied to Tina22's topic in NICU, Neonatal

    we put kids on vents in any bed we have available...be it bubble beds (yep, we still use them!), giraffe beds, RW's, open cribs, whatever. With the box on the jet, we usually wrap them in a cloth...

  13. Breast Milk Policies: MIX UP!

    nekhismom replied to VgsNrs's topic in NICU, Neonatal

    current place of employment, two RN's check the container to verify the pt's name and sign off on the flowsheet. Previous place of employment, there were no double checks in

  14. Synagis and RSV season

    nekhismom replied to Tiki_Torch's topic in NICU, Neonatal

    No we don't give

  15. Vent question please help!

    nekhismom replied to KaliRyan's topic in NICU, Neonatal

    We don't use oscillators anymore. Only jets and conv. vents. I liked oscillators, and it was certainly easier to read the settings when you only had one vent to look at. But I think the jet works...

  16. Turning off lipids in infected babies

    nekhismom replied to fergus51's topic in NICU, Neonatal

    well, that could certianly explain some of what's been going on with some of our kids. We run lipids 24 hrs and don't d/c for infections. Other hospitals run lipids 18 hours...anybody know if the...

  17. Vapotherm?

    nekhismom replied to TiffyRN's topic in NICU, Neonatal

    We're not using it, and I can't imagine any of our providers actually going for it. We keep the kids vented FOREVER it seems. I haven't seen a single early extubation since I've been at this hospital....

  18. Night Nurses-Pts think we sleep?

    nekhismom replied to dosamigos76's topic in General Nursing

    Probably FTE's (full time

  19. No/Late prenatal care? do you see it often? why do you think it happens?

    nekhismom replied to HappyNurse2005's topic in Ob/Gyn

    I think with immigrants there is more often then not a language and/or cultural barrier that isn't very well addressed. Living in a border town, I found it very hard to understand why women were...

  20. co-breastfeeding

    nekhismom replied to beesnest's topic in Ob/Gyn

    Yep, I agree with this one! Weird, some people

  21. Changing jobs before 1 year's stay:Anyone else done it?

    nekhismom replied to JacelRN's topic in First Year After Licensure

    Yes, Jacel, I have changed jobs during my first year as a nurse. 3 times to be exact! LOL Circumstances are strange, but here goes. Started work as an RNA (RN applicant= GN) in an intermediate...

  22. Sigh. Messed up, not sure how big of a deal it is...

    nekhismom replied to jen42's topic in First Year After Licensure

    It happens. It didn't harm the pt, and you reported your error. Let me just say that even in NICU, with only 2 pts normally, I sometimes miss meds. We give a LOT of stuff, and when things go bad,...

  23. Ok, RANDOM question.What do you think of anne geddes pictures?

    nekhismom replied to t2000JC's topic in NICU, Neonatal

    I generally like them. In fact, we have anne geddes pics all over our NICU. Interesting, huh??

  24. Anyone from Rio Grande Hospital, McAllen, TX?

    nekhismom replied to kaye1027's topic in Texas Nursing

    Moved, hated the job, loved the low cost of living. Nurse to pt. ratios not all that bad, and at times a lot better than previous experiences, esp. in Med/surg areas. Coworkers can be extremely...

  25. Anyone from Rio Grande Hospital, McAllen, TX?

    nekhismom replied to kaye1027's topic in Texas Nursing

    Moved, hated the job, loved the low cost of living. Nurse to pt. ratios not all that bad, and at times a lot better than previous experiences, esp. in Med/surg areas. Coworkers can be extremely...